By: Nelson  S.B. No. 1060
         (In the Senate - Filed March 4, 2013; March 12, 2013, read
  first time and referred to Committee on Health and Human Services;
  March 20, 2013, reported adversely, with favorable Committee
  Substitute by the following vote:  Yeas 9, Nays 0; March 20, 2013,
  sent to printer.)
 
  COMMITTEE SUBSTITUTE FOR S.B. No. 1060 By:  Nelson
 
 
A BILL TO BE ENTITLED
 
AN ACT
 
  relating to family cost share provisions in the early childhood
  intervention program.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter D, Chapter 117, Human Resources Code,
  is amended by adding Sections 117.077 and 117.078 to read as
  follows:
         Sec. 117.077.  DATA ANALYSIS IN FAMILY COST SHARE PROVISIONS
  IN EARLY CHILDHOOD INTERVENTION PROGRAM. (a)  In this section,
  "cost-effective" means the family cost share revenue generated is
  greater than total administrative costs.
         (b)  The department shall collect data, including data on
  administrative costs and adjusted family income, sufficient to
  evaluate:
               (1)  the cost-effectiveness of the family cost share
  provisions of the early childhood intervention program; and
               (2)  changes necessary to improve the
  cost-effectiveness of the program.
         (c)  The department shall:
               (1)  as necessary, modify the Texas Kids Intervention
  Data System to accept adjusted family income data submitted by
  early childhood intervention program providers; and
               (2)  require all providers to enter adjusted family
  income data into the system.
         (d)  The department shall use the data collected under this
  section to evaluate the cost-effectiveness of existing family cost
  share provisions in the early childhood intervention program and
  consider changes that may improve the cost-effectiveness of the
  program, including the adoption of a family cost share provision
  described by Section 117.078(a).
         (e)  The department shall implement any changes considered
  under Subsection (d) that the department determines will make the
  family cost share provisions of the early childhood intervention
  program more cost-effective, if the changes will not make access to
  early childhood intervention services cost prohibitive for
  families.  If none of the considered changes is determined to make
  the program more cost-effective, or if the department determines
  that the changes will make access to early childhood intervention
  services cost prohibitive for families, the department may decline
  to implement the changes.
         (f)  The department shall evaluate existing family cost
  share provisions and consider and implement changes, if
  appropriate, to the early childhood intervention program as
  required by this section:
               (1)  on a periodic basis established by the department;
  and
               (2)  at other times at the request of the Legislative
  Budget Board.
         (g)  Not later than December 1, 2014, the department shall:
               (1)  conduct the initial evaluation required under
  Subsection (d) and implement any changes as required by Subsection
  (e) resulting from that evaluation; and
               (2)  submit a report to the governor and the
  Legislative Budget Board summarizing the results of the initial
  evaluation and explaining any changes that were implemented.
         (h)  This subsection and Subsection (g) expire September 1,
  2015.
         Sec. 117.078.  FAMILY COST SHARE PROVISION IN EARLY
  CHILDHOOD INTERVENTION PROGRAM. (a)  The department shall
  consider implementing a family cost share provision under which the
  amount a family pays to participate in the early childhood
  intervention program is based on the amount of service the family
  receives under the program.
         (b)  A family cost share provision implemented by the
  department under Subsection (a) must establish a maximum amount to
  be paid by a family participating in the early childhood
  intervention program that is based on the family's size and
  adjusted gross income, with families in higher income brackets
  required to pay more under the provision than those families paid
  before the provision's implementation.
         SECTION 2.  If before implementing any provision of this Act
  a state agency determines that a waiver or authorization from a
  federal agency is necessary for implementation of that provision,
  the agency affected by the provision shall request the waiver or
  authorization and may delay implementing that provision until the
  waiver or authorization is granted.
         SECTION 3.  This Act takes effect September 1, 2013.
 
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